Hi
I don't suffer from pcos myself but I do suffer from rosacea and am now pregnant so get a few hormonal (nasty big) spots too.
I know you're asking about makeup but just wanted to ask if you've tried Finacea (prescription from GP for acne or rosacea)?? Its the only medication which has had any effect on my redness, even powerful antibiotics had no effects at all.
It was recommended by dermatologist who told me it was invented for acne but good for rosacea redness too.
I have had to stop using liquid foundations as they were irritating the rosacea and made it flame red (as most do moisturisers and cleansers).
I have tried a large variety of mineral makeup and found that most of the high st ones contain lots of additives and in particular bismuth oxychloride which makes my skin very very shiny (not a good look) and unnatural looking. And makes me itch.
I tried Elizabeth Arden, Origins, MAC, L'Oreal, Philosophy, Urban Decay various Boots brands, Bare Escentuals and many more. They all make me ridiculously shiny and the other additives gave me spots (when not pregnant and hormonal).
I have found quite a few mineral makeup brands online which do not contain bismuth oxychloride and give a much better finish without irritation or additional spots.
Some of them have less effective coverage than others.
I didn't like Jane Iredale - too chalky or my redness would show thru.
Inika was very good on coverage but it couldn't get a shade to quite match me which was a real shame as it was good.
Barefaced Beauty was excellent for coverage, no redness visible. But for some reason it didn't seem as finely milled as others so was easy to get a good finish. Perhaps that was just my skin though.
LilyLolo is great and I have used for a long time. Coverage is good but I need concealer. Only issue I find is that the paler shades I need to use in the winter don't quite match but if I mix two shades together (its easy and cheap so not a massive issue) I do get it right and it looks great all day. You can apply with flocked sponge and coverage is better and smoother finish (for me at least).
Elemental Beauty is one I am currently trying and I have only been using for a week. It was recommended by a friend. So far really fab. Excellent coverage and goes on smoothly (takes less than 2 mins to apply and face sorted IYSWIM). Good concealer too but not necessary even on the very red blotchy bits.
Also reasonably priced too.
HTH